| NPI | 1053465922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE LIMHP 437) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE LMHP 1427) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-12-13 |