| NPI | 1336449776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A8214) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 203136) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |