| NPI | 1942640578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2977) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1950) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2023-02-20 |