| NPI | 1902109648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-30420) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-35674) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2026-01-15 |