| NPI | 1669511705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2965) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 1185) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2009-03-31 |