| NPI | 1295564854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID 5581817) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 5581817) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2026-06-29 |