| NPI | 1104988120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1730) |
| Additional Taxonomies | 174400000X Specialist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2013-08-02 |