| NPI | 1902902950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1327) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 110871) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2019-10-01 |