| NPI | 1275666935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 647-125) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 1197-123) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2025-09-11 |