| NPI | 1093137747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2252) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD 2252) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2018-11-23 |