| NPI | 1386926871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 9466) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 6778) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2013-01-16 |