| NPI | 1518307354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 9809) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 6841) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |