| NPI | 1134452071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1306060) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1001001) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2015-10-16 |