| NPI | 1144690132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1612) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1464) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2020-05-01 |