| NPI | 1023269909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 3409) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 1289) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |