| NPI | 1992969869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 1392) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 3850) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2011-02-03 |