| NPI | 1730856295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 12108) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 7443) |
| 1041C0700X Social Worker, Clinical (Licence: NE 12108) | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-12-09 |