| NPI | 1124889621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4368) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 2615) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2025-12-11 |