| NPI | 1285751669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5135) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 207) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |