| NPI | 1952457400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1193) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 832) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3010) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-06-28 |