| NPI | 1386877827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8881) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0115651) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2021-01-04 |