| NPI | 1982002614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11397) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 006155) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2015-02-09 |