| NPI | 1306490321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 3790) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 3790) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-08-14 |