| NPI | 1730909110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 14109) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 3331) |
| 104100000X Social Worker (Licence: NE 8097) | |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-14 |