| NPI | 1235481821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 20283) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 17242) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |