| NPI | 1669012951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12081) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 7429) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-16 |