| NPI | 1366836272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 9133) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 4272) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2020-07-10 |