| NPI | 1275649493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 6479C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 3316B) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2025-11-18 |