| NPI | 1295010478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MS C7215) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MS M7215) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2017-03-07 |