| NPI | 1699902221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1266 & 3336) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1478) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2023-11-20 |