| NPI | 1073797643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14242) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000506) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2013-04-28 |