| NPI | 1144656398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12880) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8520) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2022-05-09 |