| NPI | 1780663088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NE 1933) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 914) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2007-07-08 |