| NPI | 1174640635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1112091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A0703028) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2012-01-24 |