| NPI | 1801160932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2012003444) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2340) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2013-06-10 |