| NPI | 1497046387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPCMH 20254) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD 7335) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2019-12-21 |