| NPI | 1649440371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1212) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 001303) |
| 101YM0800X Counselor, Mental Health (Licence: NE 16) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2016-09-29 |