| NPI | 1750356564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1033) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 85) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-10-23 |