| NPI | 1407152127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 6662) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8790) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |