| NPI | 1003989138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2491) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE 1353) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-01-22 |