| NPI | 1275908311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11812) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 7495) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2022-07-12 |