| NPI | 1477645513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NE 1894) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 3540) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-08-29 |