| NPI | 1497015804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 162360) |
| 101YP2500X Counselor, Professional (Licence: LA 8659) | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2023-07-24 |