| NPI | 1336580315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 1336580315) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 10216) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2022-11-28 |