| NPI | 1760615140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 0132841) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM 0120981) |
| 101YM0800X Counselor Mental Health (Licence: NM 0113441) | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2010-07-08 |