| NPI | 1093437576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4235) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2566) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2025-08-20 |