| NPI | 1386984680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LCSW 9846) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2025-03-04 |