| NPI | 1447583059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MT 4593) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WY 1183) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2013-11-20 |