| NPI | 1184876054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD lc2351) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC14011) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2015-10-21 |