| NPI | 1184616229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE LMHP-2661) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE CMSW-1094) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2013-09-03 |