| NPI | 1467960112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 8011) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 5691) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2887) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 256383) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 2049) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2022-12-20 |