| NPI | 1013221118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC4582) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC 4582) |
| 101YP2500X Counselor, Professional (Licence: ID LPC4582) | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2013-09-26 |