| NPI | 1134408537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011984) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 11984) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2024-03-07 |