| NPI | 1457763138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4607) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 001358) |
| 101YP2500X Counselor, Professional (Licence: NE 2235) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2015-09-23 |