| NPI | 1962734335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1141) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NE 1980) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2014-02-20 |