| NPI | 1134272941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DE PC-0000480) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LC7299) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-07-13 |