| NPI | 1265602155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 773) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1334) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2017-10-02 |