| NPI | 1568446318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2886) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 725) |
| 101YM0800X Counselor, Mental Health (Licence: NE 310) | |
| 104100000X Social Worker (Licence: NE 1159) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2016-11-30 |