| NPI | 1164926101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11399) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1579) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2651) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 2009) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-12-27 |