| NPI | 1396021861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4569) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1584) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2020-01-03 |