| NPI | 1043302490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 193) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 828) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3075) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 1204) | |
| 1041C0700X Social Worker, Clinical (Licence: SD 4823) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-06-18 |