| NPI | 1437454253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 2025974) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |