| NPI | 1699926337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1296) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3423) |
| 1041C0700X Social Worker, Clinical (Licence: IA 06502) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2009-04-23 |