| NPI | 1043349038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401007801) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0107681) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2014-10-21 |