| NPI | 1073896411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 6755) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9363) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |