| NPI | 1003649195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 8059) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 14007) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |