| NPI | 1710751896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5921) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 2194) |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |