| NPI | 1194293340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1781) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2022) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2024-01-18 |