| NPI | 1063127389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13281) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 7818) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |