| NPI | 1003256447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2282) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2020-01-14 |