| NPI | 1245488808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NE 147) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3827) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1136) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2016-12-05 |