| NPI | 1114051927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR L5519) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WY LCSW-468) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-04-01 |