| NPI | 1891090882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 1478) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 9007) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2016-01-11 |