| NPI | 1235274481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 6509) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 7636) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |