| NPI | 1013166511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3733) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2013-09-26 |