| NPI | 1528615986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID 35340) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-35340) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2026-07-10 |