| NPI | 1861375024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 14489) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-2334) |
| 1041C0700X Social Worker Clinical (Licence: NE 8232) | |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |