| NPI | 1790951903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1369) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 855) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3724) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2013-12-02 |