| NPI | 1942337555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 2418) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NE 276) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |