| NPI | 1134236615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 565) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 107) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2009-05-12 |