| NPI | 1184052599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 10488) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A10488) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2018-06-25 |