| NPI | 1356996193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: AL C3239a) | |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |