| NPI | 1780448043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR a15021) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2025-02-07 |