| NPI | 1669973715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1897) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1577) |
| 101YM0800X Counselor, Mental Health (Licence: NE 11407) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 2349) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 7222) | |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2021-02-10 |