| NPI | 1174855852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14711) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7684) |
| 101YM0800X Counselor, Mental Health (Licence: SC 5618) | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2023-01-20 |