| NPI | 1356553259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12924) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1977) |
| 104100000X Social Worker | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-07-19 |