| NPI | 1861624199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR 337584) |
| 101YS0200X Counselor School | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |