| NPI | 1881991826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 81615216009) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-12-07 |