| NPI | 1225288707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR C3857) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2022-03-05 |