| NPI | 1992347124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2022048431) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR M10246) |
| 1041C0700X Social Worker, Clinical (Licence: KS 12923) | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2026-08-12 |