| NPI | 1457851529 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2564) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1905) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2023-10-04 |