| NPI | 1922233840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5149) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 5149) |
| 101Y00000X Counselor (Licence: SC 5149) | |
| 171W00000X Contractor (Licence: SC 5149) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2015-09-19 |