| NPI | 1154441566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP0289) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00563500) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2019-04-30 |