| NPI | 1649093394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P021404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P021404) |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2025-01-24 |