| NPI | 1174995112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD 30716) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD 7279) |
| 101YM0800X Counselor, Mental Health (Licence: SD 7279) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2022-10-12 |