| NPI | 1306300306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2522) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11756) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1968) | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2025-11-25 |