| NPI | 1831163195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 0005237) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 2495) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |