| NPI | 1255481503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 1271) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 1271) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2021-04-22 |