| NPI | 1518011402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD lc2264) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA pc003919) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |