| NPI | 1235358060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A13492) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2021-04-05 |