| NPI | 1023434511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701005717) |
| 101YP2500X Counselor, Professional (Licence: AK 938) | |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2015-06-18 |