| NPI | 1760182406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12655-123) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YM0800X Counselor, Mental Health (Licence: WI 134175-121) | |
| 104100000X Social Worker (Licence: WI 134175-121) | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2025-11-10 |