| NPI | 1366560245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC-3639) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LMFT-665) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |