| NPI | 1679871255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 7553320-3503) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LSW-29474) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |