| NPI | 1679797906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2355) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 934) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-09 |