| NPI | 1588842512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1472) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4143) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2019-04-16 |