| NPI | 1700695418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC P015677) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC P015677) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-04-10 |