| NPI | 1740421999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5018) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 5018) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2014-08-11 |