| NPI | 1285074575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6245) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP4999) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2015-03-30 |