| NPI | 1184756371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 2956) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 1939) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |