| NPI | 1184945958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 772) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2018-06-06 |