| NPI | 1225149487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 5229) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 5229) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-03-26 |