| NPI | 1780942920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1105) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 1568) |
| 1041C0700X Social Worker Clinical (Licence: IA 007229) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2023-03-17 |