| NPI | 1386969335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 000009498) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: MA s44440734) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2016-01-27 |