| NPI | 1447235072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0106311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0069192) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2007-08-29 |