| NPI | 1114634318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13080) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 7751) |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2024-03-08 |