| NPI | 1457982134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 5594) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 11322) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2021-04-29 |