| NPI | 1336967421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 13960) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 8091) |
| Enumeration Date | 2024-09-28 |
| Last Update Date | 2024-10-01 |