| NPI | 1770602872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 2778-125) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2014-12-05 |