| NPI | 1124523113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5038) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1730) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2018-03-29 |