| NPI | 1396875456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 3690-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 3690-125) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2017-12-11 |