| NPI | 1245387323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC0000214) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0000214) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2022-04-27 |