| NPI | 1245510346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1196) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NE 152) |
| 101YM0800X Counselor, Mental Health (Licence: NE 4248) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2014-01-23 |