| NPI | 1184823783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OK UNDER SUPERVISION) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OK UNDER SUPERVISION) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |