| NPI | 1861274540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34010647A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR L15279) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2025-09-04 |