| NPI | 1194953497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2331) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8668) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2011-06-16 |