| NPI | 1801069687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NE 6628) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8576) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |