| NPI | 1659434009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2216 LICENSED MENTAL) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NE CPC 1238) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |