| NPI | 1932236171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9705) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 605) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-06-23 |