| NPI | 1023254091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0134861) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0118461) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2015-03-25 |