| NPI | 1164722302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1303025) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1007082) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2014-02-13 |