| NPI | 1639974330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3640) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1489) |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-07-15 |