| NPI | 1174661219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 2140) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2013-02-28 |