| NPI | 1639650179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 7629) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2433) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2024-04-03 |