| NPI | 1275661902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002293A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 5685) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-07-10 |