| NPI | 1366768988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 12032) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0135001) |
| 101Y00000X Counselor (Licence: NM 0135001) | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2014-09-11 |