| NPI | 1083231153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12275) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7499) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-07 |