| NPI | 1124149265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD R072594) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD R072594) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R072594) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R072594) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |