| NPI | 1316215429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC3947) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC3947) |
| 101YM0800X Counselor Mental Health (Licence: MD LC3947) | |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2023-05-12 |