| NPI | 1386704252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1999) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1149) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2009-09-23 |