| NPI | 1952085771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LMSW-43650) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 8911324) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2025-11-25 |