| NPI | 1801845573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 000278) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 01354) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-07-08 |