| NPI | 1144454364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8135) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 002228) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2016-01-20 |