| NPI | 1023491040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10327) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 6942) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |