| NPI | 1508649112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 13395) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7855) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |