| NPI | 1669568879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 734) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3352) |
| 101YP2500X Counselor, Professional (Licence: NE 1704) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-04-03 |