| NPI | 1003935057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NH 88) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 1653) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |