| NPI | 1942322656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C3194) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 7868) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2013-07-22 |