| NPI | 1366652190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1280) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3384) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-06-17 |