| NPI | 1447499983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1152) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 4258) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH 13965) | |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2017-01-23 |