| NPI | 1497085153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L6404) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMSW-30029) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2014-12-09 |