| NPI | 1760018881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11887) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7374) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-06-29 |