| NPI | 1649375643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2120) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1206) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |