| NPI | 1285939066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS LMSW 7674) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE LMHP 1196) |
| 104100000X Social Worker (Licence: NE CSW 2529) | |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2012-08-02 |