| NPI | 1144387267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 884) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 679) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1297) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2012-01-30 |