| NPI | 1780881953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3586) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1330) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-05-28 |