| NPI | 1750846457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2462) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1939) |
| 1041C0700X Social Worker, Clinical (Licence: IA 120106) | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2023-11-30 |