| NPI | 1578020129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8269-123) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 8269) |
| 101YM0800X Counselor, Mental Health (Licence: WI 8269-123) | |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2025-01-29 |