| NPI | 1932688009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C10183) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH25070) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2025-07-18 |