| NPI | 1316365406 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 102L00000X Psychoanalyst | |
| 104100000X Social Worker | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2014-04-04 | 
| Last Update Date | 2025-08-14 |