| NPI | 1154200095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 14486) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 3633) |
| 1041C0700X Social Worker Clinical (Licence: NE 8231) | |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |