| NPI | 1447092895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 8015) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 13855) |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-10 |