| NPI | 1639329477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 226) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1553) |
| 1041C0700X Social Worker, Clinical (Licence: NE 841) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |