| NPI | 1023676285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11857) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 7365) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2024-08-22 |