| NPI | 1760680797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1338) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8325) |
| 101YM0800X Counselor, Mental Health (Licence: NE 1238) | |
| 101YM0800X Counselor, Mental Health (Licence: IA 111283) | |
| 1041C0700X Social Worker, Clinical (Licence: NE 2166) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2022-07-07 |