| NPI | 1194267740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11041) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7117) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |