| NPI | 1841592748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 3114-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3114-125) |
| Enumeration Date | 2010-11-27 |
| Last Update Date | 2010-12-03 |