| NPI | 1083906226 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000455)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5768)  | 
| Enumeration Date | 2011-05-06 | 
| Last Update Date | 2020-05-06 |