| NPI | 1427322312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 9732) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: NC 9732) | |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2015-01-06 |