| NPI | 1154782795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A12052) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2018-08-23 |