| NPI | 1720393374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 0107431) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 1017431) |
| 101YP2500X Counselor Professional (Licence: NM 0107431) | |
| 101YS0200X Counselor School (Licence: NM 0107431) | |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |