| NPI | 1447332754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS LCPC#030) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO LPC#000642) |
| 101Y00000X Counselor (Licence: NCC#10263) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-04-25 |