| NPI | 1770713331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 11311) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 4422) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2013-10-24 |