| NPI | 1013326685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1283) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4226) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-09-03 |