| NPI | 1790236057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0181801) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NM 0181801) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-12-22 |