| NPI | 1871647941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 898) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME CC3711) |
| 101YM0800X Counselor, Mental Health (Licence: MA 6909) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-07-09 |