| NPI | 1881886315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1099) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3478) |
| 101YP2500X Counselor, Professional (Licence: NE 1747) | |
| 101YP2500X Counselor, Professional (Licence: MO 256) | |
| 101YP2500X Counselor, Professional (Licence: CO 16) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2017-03-02 |