| NPI | 1427393842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CMH0197821) |
| Additional Taxonomies | 101Y00000X Counselor |
| 247200000X Technician, Other | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2023-04-27 |