| NPI | 1518931914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPCMH2112) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ND 491-7-01-03-152) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2016-02-10 |