| NPI | 1467706499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002401A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701005175) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |