| NPI | 1861161234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 4130) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4130) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2025-08-01 |