| NPI | 1205116894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 14232) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: AL 3458) | |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2020-05-13 |