| NPI | 1932610524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 7402) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3088) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2024-02-08 |