| NPI | 1194098558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3991) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1037- LIMHP) |
| 101YM0800X Counselor, Mental Health (Licence: MN cc00067) | |
| 101YP2500X Counselor, Professional (Licence: NE 1974) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-12-27 |