| NPI | 1225299720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 9314) |
| 101YM0800X Counselor, Mental Health (Licence: IA 116065) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2024-01-09 |