| NPI | 1518247360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5207) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1787) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2023-12-26 |