| NPI | 1316371099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 072775) |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2023-08-08 |