| NPI | 1114365236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM 1114365236) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM 0150921) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2024-07-01 |