| NPI | 1285803684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 2070m) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 25638) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2012-01-19 |