| NPI | 1326077827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3057) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1201) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |