| NPI | 1053846824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 1851) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 1936) |
| 101YP2500X Counselor Professional (Licence: NE 4948) | |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2019-10-08 |