| NPI | 1093480808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2736) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2047) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2024-04-04 |