| NPI | 1568902419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NE 7102) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 11013) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2018-09-21 |