| NPI | 1750560603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2125) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2021-01-06 |