| NPI | 1134288046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0149471) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6560) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-08-15 |