| NPI | 1780272088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 12451) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 7562) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |