| NPI | 1801028410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME MC21852) |
| 101YP2500X Counselor, Professional (Licence: WA RC60101365) | |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2025-03-17 |