| NPI | 1174761597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |