| NPI | 1427471218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3130) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 6896) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1805) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2024-02-12 |