| NPI | 1336038413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 14485) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 8230) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |