| NPI | 1366504953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1279) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-03-07 |