| NPI | 1366883373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 4513) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 4513) |
| 101Y00000X Counselor (Licence: LA 4513) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2015-10-14 |