| NPI | 1285969444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 257343) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: TN LSW0000009818) | |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2025-08-20 |