| NPI | 1881419828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 13702) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 7955) |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |