| NPI | 1316758493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14045) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 8071) |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-18 |