| NPI | 1053795641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NE 1452) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1442) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2025-08-26 |