| NPI | 1447684295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2012022792) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 2763) |
| 101YM0800X Counselor, Mental Health (Licence: MO 2012022792) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2021-09-27 |