| NPI | 1003977737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C1905) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 8708) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH00010330) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |