| NPI | 1669883724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 953) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 560) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2020-06-12 |