| NPI | 1447586375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC4641) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: MD LGP3628) | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2012-09-27 |