| NPI | 1174968994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1499) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4233) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |