| NPI | 1013382951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KS 2866) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 2471) |
| 101YM0800X Counselor Mental Health (Licence: MO 2015035421) | |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2017-01-17 |