| NPI | 1003189945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002686) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 68133) |
| 101YM0800X Counselor, Mental Health (Licence: NY 007032) | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2016-02-12 |