| NPI | 1336416635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5219-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 97-36) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2015-12-01 |