| NPI | 1265858989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001563) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc01400) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2018-09-10 |