| NPI | 1922299163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 55) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 00562) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2543) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-03-30 |