| NPI | 1487205340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW19205) |
| 1041C0700X Social Worker, Clinical (Licence: CT 14784) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 126733) | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2025-03-07 |