| NPI | 1154747574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2011035731) |
| 101YP2500X Counselor, Professional (Licence: MO 2011035731) | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2020-07-08 |