| NPI | 1407411432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 3376) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2020-06-24 |