| NPI | 1891882429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 4165-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 3036) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-07-28 |