| NPI | 1295777167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR P0710057) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A0402007) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-05-27 |