| NPI | 1780853978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM M - 05986) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2014-04-21 |