| NPI | 1275885246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16471) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A9368) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2022-08-15 |