| NPI | 1134407794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0142441) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM T-0141091) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2013-09-23 |