| NPI | 1730239161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 909) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 6352) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 541) | |
| 1041C0700X Social Worker Clinical (Licence: NE 3316) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2011-08-30 |