| NPI | 1396894929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC006842) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 3707) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2012-10-02 |