| NPI | 1407748577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 14505) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 8239) |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |