| NPI | 1497997605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC005509) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC3693) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2010-12-28 |