| NPI | 1619143591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE PLMHP8596) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE PMSW6632) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |