| NPI | 1164091781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14854) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 8351) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2026-07-13 |