| NPI | 1073821146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9060) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1008098) |
| 101YM0800X Counselor, Mental Health (Licence: NC A9060) | |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2014-10-22 |