| NPI | 1841526084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 3028) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3464) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2024-01-23 |