| NPI | 1073649489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3082 LMHP) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1607 CPC) |
| 101YM0800X Counselor, Mental Health (Licence: NE 90201 NCC) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |