| NPI | 1437220662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2003002169) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 2415) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2024-02-01 |