| NPI | 1225626807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5947) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker (Licence: NE 2219) | |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2024-10-10 |