| NPI | 1245401397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 5207) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 5207) |
| 101YM0800X Counselor Mental Health (Licence: SC 5207) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2021-08-09 |