| NPI | 1073788949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK PCOP576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 663) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2019-01-03 |