| NPI | 1053868943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1802) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10969) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-04-03 |