| NPI | 1023274982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA MA5405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5405) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2009-06-26 |