| NPI | 1467779173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MO 2007023221) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2007023221) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2026-02-26 |