| NPI | 1336461359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701004741) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC3318) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |