| NPI | 1619409521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3109) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 1853) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-03-23 |