| NPI | 1225290984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5202) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9489) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2010-11-08 |