| NPI | 1477758589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 35) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 597) |
| 106H00000X Marriage & Family Therapist (Licence: NE 69) | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2017-05-04 |