| NPI | 1932598299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3745C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3745C) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2025-07-23 |