| NPI | 1134353279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 8549) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2013-09-11 |