| NPI | 1376026179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1780) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 2014) |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2023-12-14 |