| NPI | 1861895682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 153752) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-06973) |
| 1041C0700X Social Worker, Clinical (Licence: AK 153752) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2026-07-01 |