| NPI | 1053634550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5095) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 5327) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC5095) | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2022-11-02 |