| NPI | 1235488552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC003423) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 283372) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |