| NPI | 1811164718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 4736) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 77879) |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2008-05-11 |