| NPI | 1073748133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1515) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2757) |
| 101YM0800X Counselor, Mental Health (Licence: NE 4276) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 101496) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2021-09-14 |