| NPI | 1366644874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE LPC1451) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: NE LMHP2739) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |