| NPI | 1861038796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 2110) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 3310) |
| 101YM0800X Counselor Mental Health (Licence: NE 5791) | |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2024-04-03 |