| NPI | 1447368212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 1773) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1773) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2013-12-13 |