| NPI | 1215475702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 6571) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC NBCC 61535) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2018-10-11 |