| NPI | 1720561012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5711) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2068) |
| 1041S0200X Social Worker, School (Licence: NE 11226) | |
| 1041S0200X Social Worker, School (Licence: NE 7169) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2025-06-03 |