| NPI | 1194036657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 465-226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 465226) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-08-10 |