| NPI | 1508110487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1084) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4127) |
| 104100000X Social Worker (Licence: NE 1465) | |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2013-03-27 |