| NPI | 1891981353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701004788) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH 9066) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2010-05-24 |