| NPI | 1871128017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 11768) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7345) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2023-06-09 |