| NPI | 1831442227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 0000010358) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0172531) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2017-11-20 |