| NPI | 1427108646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3559) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 6547PLCSW) |
| 101YM0800X Counselor, Mental Health (Licence: NE 8209PLMHP) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-09-20 |