| NPI | 1306558333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL 6196C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 128271) |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2025-09-30 |