| NPI | 1376788778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 3760) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3760) |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2014-04-10 |