| NPI | 1174957997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 10520) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A8759) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2014-08-10 |