| NPI | 1255402889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IA 06364) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 06364) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-03-10 |