| NPI | 1245620061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10762) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A10762) |
| Enumeration Date | 2015-02-01 |
| Last Update Date | 2024-06-28 |