| NPI | 1023032489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 93) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2870) |
| 101YP2500X Counselor, Professional (Licence: NE 1500) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-12-12 |