| NPI | 1619281318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 1851484505.) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2016-04-19 |