| NPI | 1699147553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0177191) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 4155) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |