| NPI | 1154757532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0017278) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17735) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-03-23 |