| NPI | 1013467679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A12550) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A12550) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2018-11-20 |