| NPI | 1730234659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 1674) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 225C00000X Rehabilitation Counselor (Licence: MA 938) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2016-05-11 |