| NPI | 1184041535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 4304) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R3116) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-03-17 |