| NPI | 1871820795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0130531) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2013-09-30 |