| NPI | 1952479628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2007034757) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 1036) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-12-05 |