| NPI | 1639162548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 377) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 70) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2009-12-23 |