| NPI | 1508921719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1277) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7310) |
| 1041C0700X Social Worker, Clinical (Licence: NE 6364) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 3362) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2011-12-02 |