| NPI | 1003070376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4232) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8598) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1498) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2022-03-11 |