| NPI | 1497194682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001466) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1004) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |