| NPI | 1982342739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11919-123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 132717-121) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2025-05-05 |