| NPI | 1003902693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701003288) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003228) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-12-17 |