| NPI | 1427148626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 001058) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-09-29 |