| NPI | 1083909972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8630) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8630) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2014-03-04 |