| NPI | 1770811531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 9173) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003271) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2016-07-18 |