| NPI | 1467706358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID lcsw34057) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID lcsw-34057) |
| 101YM0800X Counselor, Mental Health (Licence: ID LMSW31409) | |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2025-09-16 |