| NPI | 1528476371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 7298) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 5846) |
| 1041C0700X Social Worker, Clinical (Licence: NE 2148) | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2022-07-21 |