| NPI | 1770734196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001685A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH0001800) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |