| NPI | 1336584531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 277069) |
| 101YM0800X Counselor, Mental Health (Licence: TN 3634) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2022-09-05 |