| NPI | 1215090030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 521) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2797) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-12-30 |