| NPI | 1013187392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5925) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 5925) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2016-01-08 |