| NPI | 1376131706 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3042) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 2149) | 
| Enumeration Date | 2020-12-31 | 
| Last Update Date | 2025-02-26 |