| NPI | 1205203114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OK 3308) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |