| NPI | 1134543150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6489) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP5223) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC6489) | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2016-07-26 |