| NPI | 1558012435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12862) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7700) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |