| NPI | 1033499561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3187) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R2280) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2016-11-23 |