| NPI | 1245453810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 559) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1014) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2011-02-16 |