| NPI | 1548810609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 3307) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 11810) |
| 1041C0700X Social Worker Clinical (Licence: NE 2237) | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2023-04-25 |