| NPI | 1851535256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001301) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8842) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2012-06-19 |