| NPI | 1316320302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 3771) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 12033) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2016-12-08 |