| NPI | 1154878361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 082655) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0015087) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2019-03-13 |