| NPI | 1669597225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 6523) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 6523) |
| 101YP2500X Counselor, Professional (Licence: NC 6523) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-09-08 |