| NPI | 1194326710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11942) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7386) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-24 |