| NPI | 1508925389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0114111) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS LCP 330) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2011-02-28 |