| NPI | 1477844876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1383) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1444) |
| 1041C0700X Social Worker, Clinical (Licence: IA 007669) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2015-04-24 |