| NPI | 1447483458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1528) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4343) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2018-11-14 |