| NPI | 1225819212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 4417) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 7926) |
| 101YM0800X Counselor, Mental Health (Licence: NE 13630) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 2630) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 6431) | |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2026-01-30 |