| NPI | 1144306010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 000338) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 002116) |
| 101YM0800X Counselor, Mental Health (Licence: KS 142) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |