| NPI | 1811663925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3673) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 2370) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2024-05-14 |