| NPI | 1295333771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 008146) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 008146) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2025-08-08 |