| NPI | 1619152378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 6974) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 6794) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2017-07-14 |