| NPI | 1225173404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 4870) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN 6167) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2017-03-09 |