| NPI | 1568525525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 5939) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 5939) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-12-13 |