| NPI | 1710026505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 1245) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 18978) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-03-24 |