| NPI | 1659794113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1547) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1685) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2018-12-19 |