| NPI | 1528107075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NE #231) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE #468) |
| 104100000X Social Worker (Licence: NE #722) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 722) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2009-05-20 |