| NPI | 1841282993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE LMHP 2397) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE CMSW 1038) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2015-04-23 |