| NPI | 1194847079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 836) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 4987) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2017-02-17 |