| NPI | 1376935213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A11210) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-12-08 |