| NPI | 1013187871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 2729) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2729) |
| 101YM0800X Counselor, Mental Health (Licence: NE 8206) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 101516) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 1430) | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2024-07-23 |