| NPI | 1568204790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 134584) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 134854121) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-03-18 |