| NPI | 1023274388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0119171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0121891) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2009-07-29 |