| NPI | 1487191144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9319) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP7590) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2019-04-16 |