| NPI | 1558614131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0156051) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0151721) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2013-01-21 |