| NPI | 1306096219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4369-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10131) |
| Enumeration Date | 2008-09-27 |
| Last Update Date | 2011-05-24 |