| NPI | 1669856886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1829) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2023-06-14 |