| NPI | 1235449596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5293) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 4989) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2021-08-27 |