| NPI | 1124919659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14507) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 8241) |
| Enumeration Date | 2025-07-12 |
| Last Update Date | 2025-07-12 |