| NPI | 1063728798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 1291) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2074) |
| 101YP2500X Counselor, Professional (Licence: NE 1187) | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2014-09-30 |