| NPI | 1073865689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6092) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC6092) |
| 101YP1600X Counselor, Pastoral (Licence: MD LC6092) | |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2018-09-09 |