| NPI | 1306162334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC S7867) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 7867) |
| 101YM0800X Counselor Mental Health (Licence: NC S7876) | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2023-10-09 |