| NPI | 1750650560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC3614) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: MD LC3614) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |