| NPI | 1013092790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 921) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2009) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-12-16 |