| NPI | 1881779569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 790) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1172) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1172) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-12-19 |