| NPI | 1417994641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1731) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC1731) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2010-10-05 |