| NPI | 1013288208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0145681) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0177801) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2018-09-27 |