| NPI | 1295007334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.011096) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IA 001476) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2018-05-01 |