| NPI | 1083754956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1053) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 333) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2012-11-20 |