| NPI | 1093709164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 509) |
| 104100000X Social Worker (Licence: NE 1006) | |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2024-11-01 |