| NPI | 1457430498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1140) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2824) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-04-07 |