| NPI | 1801889712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 874) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1238) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-07-08 |