| NPI | 1407860836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2003014909) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2023-09-14 |