| NPI | 1124501341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 2004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 5625) |
| 1041S0200X Social Worker, School (Licence: NE 11589) | |
| 1041S0200X Social Worker, School (Licence: NE 7268) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2024-04-03 |