| NPI | 1275088379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AL 3393) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 3393) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2020-01-15 |