| NPI | 1093783623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPCMH2013) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LMFT1078) |
| 101YP2500X Counselor, Professional (Licence: SD NCC24558) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |