| NPI | 1225153661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 053) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 977) |
| 1041C0700X Social Worker, Clinical (Licence: NE 011) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-02-26 |