| NPI | 1134547904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11965) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2658) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2023-11-09 |