| NPI | 1063151496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13763) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7976) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2024-02-16 |