| NPI | 1477928513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11718) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A11718) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2022-02-22 |