| NPI | 1417254616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 195) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 629) |
| 101YM0800X Counselor Mental Health (Licence: NE 2252) | |
| 1041C0700X Social Worker Clinical (Licence: NE 1008) | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |