| NPI | 1326295056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0139371) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0101571) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2011-04-25 |