| NPI | 1346582988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD Lc6199) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP4930) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2022-02-19 |