| NPI | 1134411812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 002073) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2021-06-14 |