| NPI | 1942593561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 00765) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |