| NPI | 1376883405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 9631) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2020-10-01 |