| NPI | 1013976406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL PMH 690) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC 0718) |
| 101Y00000X Counselor (Licence: WA RC 00048608) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-08-14 |