| NPI | 1922583715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7672) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: SD 6951) | |
| 101Y00000X Counselor (Licence: TX 117663) | |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2025-11-05 |