| NPI | 1073888939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A9171) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2021-08-13 |