| NPI | 1124437488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 16258) |
| 101YM0800X Counselor, Mental Health (Licence: CO 16258) | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2024-08-28 |