| NPI | 1407926967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 764) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 893) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-12-03 |