| NPI | 1336535178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-37515) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID 37515) |
| 101YP2500X Counselor Professional (Licence: ID 37515) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2025-02-05 |