| NPI | 1407152051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0156111) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM T-0136741) |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2014-06-13 |