| NPI | 1720653496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5572C) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 5184G) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2025-06-23 |