| NPI | 1144459447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 5105) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7378) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2010-03-03 |