| NPI | 1235479817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 2011004955) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 2011004955) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2021-05-04 |