| NPI | 1699003533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 3001) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH6287) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2013-08-28 |