| NPI | 1730473190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8772) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 8772) |
| 101YM0800X Counselor, Mental Health (Licence: SC 5503) | |
| 101Y00000X Counselor (Licence: SC 5503) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2013-12-20 |