| NPI | 1164736112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 2527-M) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PLMSW) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2011-06-06 |