| NPI | 1750472189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 920) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2002) |
| 101YP2500X Counselor, Professional (Licence: NE 2002) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-12-16 |