| NPI | 1316244072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MA 7563) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 7563) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2019-08-27 |