| NPI | 1598348104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 2021) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2674) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2022-03-10 |