| NPI | 1457619959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 20841) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 1150356) |
| 101YP2500X Counselor, Professional (Licence: SC 1150356) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2024-12-18 |