| NPI | 1639821291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2000) |
| 1041C0700X Social Worker, Clinical (Licence: 2631) | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2023-05-03 |