| NPI | 1154413086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 701002093) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0717000659) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701002093) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 717000659) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-09-24 |