| NPI | 1518000751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 10619-CP) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C008704) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2014-05-20 |