| NPI | 1982388815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 13068) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 7747) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |