| NPI | 1073276325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12388) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 7537) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2021-10-14 |