| NPI | 1366753147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 5560) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2016-06-14 |