| NPI | 1861700296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3875) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: NE 2443) | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2024-10-31 |