| NPI | 1265502868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO CS000660) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO SW002561) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2025-09-11 |