| NPI | 1376858605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 1073-C) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1301005) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2013-11-13 |