| NPI | 1982925236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 7280771-6009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 7280771-6004) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2012-07-23 |