| NPI | 1215916127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 718) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3294) |
| 104100000X Social Worker (Licence: NE 1256) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 7844) | |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2022-10-27 |