| NPI | 1437295334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 3651) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1036) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |