| NPI | 1205820263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 760) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 335) |
| 101YM0800X Counselor, Mental Health (Licence: NE 498) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 619) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2013-07-15 |