| NPI | 1871683862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 200207) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 606) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2025-09-11 |