| NPI | 1720118466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2000151900) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 33739) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-09-02 |