| NPI | 1760555031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV CP0005) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180006677) |
| 101Y00000X Counselor | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2010-12-30 |