| NPI | 1225235161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 6224) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 6017) |
| 101YM0800X Counselor, Mental Health (Licence: NC 7144) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2023-03-06 |