| NPI | 1366998528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1625) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4711) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |