| NPI | 1184189300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 7289) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11632) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2021-10-04 |