| NPI | 1154592848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MT 1346) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 1346) |
| 101YP2500X Counselor, Professional (Licence: MT 1346) | |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |