| NPI | 1306151451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TH0004X Psychologist Health |
| 103TR0400X Psychologist Rehabilitation | |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |