| NPI | 1548563331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 902808) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2011-12-05 |