| NPI | 1093577843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 2317) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3545) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |