| NPI | 1114497427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11701) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 1041C0700X Social Worker, Clinical (Licence: NE 7315) | |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2021-12-13 |