| NPI | 1316312887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 174408) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 3902806A) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2024-05-23 |