| NPI | 1083892913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0174191) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2008002684) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0155701) | |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2015-06-03 |