| NPI | 1144337296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 916) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 2493) |
| 101Y00000X Counselor (Licence: NE 1355) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2012-06-11 |