| NPI | 1154585974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0154641) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5924) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2013-01-24 |