| NPI | 1568962975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2427) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1932) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2020-09-17 |