| NPI | 1639564131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5134) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 6966) |
| 101YM0800X Counselor, Mental Health (Licence: NE 10457) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 1763) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2018-05-14 |