| NPI | 1396710828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA 004779) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 004779) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2018-05-17 |