| NPI | 1386113728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 123973) |
| 104100000X Social Worker (Licence: WA LW61416830) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L11299) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2025-01-15 |