| NPI | 1063946705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 10401) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 6957) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |