| NPI | 1861140592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH22448) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2025-01-09 |