| NPI | 1225288665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 7133) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 1996) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2013-01-22 |