| NPI | 1699953661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1335) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3573) | |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2011-02-17 |