| NPI | 1134328008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2939) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE P-600) |
| 104100000X Social Worker (Licence: NE 1176) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2016-10-25 |