| NPI | 1477005791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 9703) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: RI 791) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |