| NPI | 1699555243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NE 2846) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2246) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3326) | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-08-06 |