| NPI | 1730311937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1989) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1142) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |