| NPI | 1033669585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0016266) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 3187) |
| Enumeration Date | 2016-10-08 |
| Last Update Date | 2021-01-19 |