| NPI | 1285835124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 3645C) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: IA 119743) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2025-09-08 |