| NPI | 1265201453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13733) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 7964) |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2024-01-05 |