| NPI | 1700121571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 9807) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE P-1091) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |