| NPI | 1164974747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11031) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7111) |
| 104100000X Social Worker (Licence: NE 2898) | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-12-21 |