| NPI | 1376775320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1286) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8931) |
| 1041C0700X Social Worker, Clinical (Licence: NE 6680) | |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2023-09-19 |