| NPI | 1477702967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0011561) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 7774) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2013-09-04 |