| NPI | 1518331586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3560) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1798) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2025-11-25 |