| NPI | 1164103990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13964) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 8046) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2024-08-13 |