| NPI | 1346368636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701004328) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0701004328) |
| 101YP1600X Counselor Pastoral (Licence: VA 0701004328) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-12-19 |