| NPI | 1508238940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD G08641) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 24083) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50081393) | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2026-03-31 |