| NPI | 1063554459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 180) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 871) |
| 104100000X Social Worker (Licence: NE 379) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-02-10 |