| NPI | 1629708276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 12997) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 7726) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |