| NPI | 1003931205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000392) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701002339) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |