| NPI | 1366810129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6632) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2018-04-30 |