| NPI | 1902427115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4819) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 1658) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |