| NPI | 1811419872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 13596) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 13956) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2026-05-06 |