| NPI | 1548406861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 991051) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2014-01-06 |