| NPI | 1003390915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5405) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NE 1866) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2026-08-26 |