| NPI | 1366730012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-33446) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 7759507-3502) |
| 101Y00000X Counselor (Licence: ID LCSW-33446) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2026-03-31 |