| NPI | 1740563303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3560) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 10251) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2016-07-26 |