| NPI | 1225108012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 686) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3257) |
| 101YP2500X Counselor, Professional (Licence: NE 1678) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2010-03-16 |