| NPI | 1093034324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8818) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 8818) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2011-11-04 |