| NPI | 1194085696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 4774) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2391) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2020-02-28 |