| NPI | 1891663530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904019786) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0906014825) |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2026-01-20 |