| NPI | 1114083821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 199306) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-01-24 |