| NPI | 1366884652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015406) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007053) |
| 101Y00000X Counselor (Licence: PA PC007053) | |
| Enumeration Date | 2013-07-27 |
| Last Update Date | 2024-04-29 |