| NPI | 1578766143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 753) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 006833) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3448) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 1303) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2017-02-22 |