| NPI | 1629125091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: TN 4886925) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |