| NPI | 1063621761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 85-3E) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 0214) |
| 101YM0800X Counselor, Mental Health (Licence: TN 149) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |