| NPI | 1356686869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014334) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC003666) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2018-03-21 |