| NPI | 1912650623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 12813) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7680) |
| 101YM0800X Counselor, Mental Health (Licence: NE 12813) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 7680) | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |