| NPI | 1093952434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 1211) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 3101) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |