| NPI | 1679717045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 174400000X Specialist |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2012-08-28 |