| NPI | 1225325467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4259) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1509) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2016-05-13 |