| NPI | 1801123898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM I07163) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM I-07163) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2013-07-30 |