| NPI | 1437549110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MT 11416) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2022-07-20 |