| NPI | 1184814196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7289) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2727) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2024-07-08 |