| NPI | 1356695134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401011089) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401011089) |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2021-07-15 |