| NPI | 1851407241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 366) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 596) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2009-05-11 |