| NPI | 1356792600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6492) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLPC6492) |
| 101YP2500X Counselor, Professional (Licence: LA PLPC6492) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2018-03-17 |