| NPI | 1013232172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39002384A) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ND 655-3-1-10A) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2012-08-17 |