| NPI | 1245673029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 95801) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD 30717) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2024-01-03 |