| NPI | 1932331634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 1033) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 2619) |
| 101YP2500X Counselor Professional (Licence: NE 1403) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2012-11-19 |