| NPI | 1780266049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3291) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2233) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2025-09-12 |