| NPI | 1932854437 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12244) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7491) | 
| Enumeration Date | 2022-02-14 | 
| Last Update Date | 2022-04-08 |