| NPI | 1881994572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 1772) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 2760) |
| 101YM0800X Counselor, Mental Health (Licence: TN 2654) | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2013-09-18 |