| NPI | 1023316593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1449) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1539) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2023-11-14 |