| NPI | 1295008076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3921) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1411) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-04-25 |