| NPI | 1003113028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1750) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 5105) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2039) | |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2018-12-11 |