| NPI | 1477807568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5872) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 83976886004) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2023-11-17 |