| NPI | 1841607918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 4011) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-12-12 |