| NPI | 1033419023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 1959) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 1959) |
| 101YM0800X Counselor Mental Health (Licence: CO 1959) | |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2011-06-06 |