| NPI | 1063799468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12121) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A12121) |
| 101YM0800X Counselor, Mental Health (Licence: NC 12121) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2021-09-30 |