| NPI | 1346561016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A15554) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A15554) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2023-06-06 |