| NPI | 1609059138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 196) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2429) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2010-01-25 |