| NPI | 1124171095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1895) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1223) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |