| NPI | 1508933698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC1367) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1367) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |