| NPI | 1306662515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WV BP00947010) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV BP00947010) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-12 |