| NPI | 1316381791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 094773) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9732) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2024-08-13 |