| NPI | 1710772801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14383) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 8186) |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-05-20 |