| NPI | 1659507614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 10256) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 3013) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2013-12-30 |