| NPI | 1992865364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 3888-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 180-005951) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2007-07-08 |