| NPI | 1477064558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC9808) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LG8112) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2019-08-20 |