| NPI | 1396864484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001109) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IA 06140) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-08-27 |