| NPI | 1851640197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1416) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3939) |
| 104100000X Social Worker (Licence: NE 2410) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |