| NPI | 1790286847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NE 11403) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 11403) |
| 1041C0700X Social Worker Clinical (Licence: NE 7220) | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |