| NPI | 1053576306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC1467) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1467) |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC13726) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2021-01-08 |