| NPI | 1407967664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 5075) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 5075) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-05-14 |