| NPI | 1841613007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0160441) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0002151) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |