| NPI | 1730587890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A11911) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2016-07-22 |