| NPI | 1679039234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140438) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 104600) |
| 101YM0800X Counselor, Mental Health (Licence: CA 166271) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 93082) | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2025-03-20 |