| NPI | 1851639892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2470A2800X Technician, Health Information, Assistant Record Technician |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2014-11-03 |