| NPI | 1568587863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2544) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 269) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-09-22 |