| NPI | 1457433146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 583) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NE 700) |
| 106H00000X Marriage & Family Therapist (Licence: NE 265) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-02-11 |