| NPI | 1497167415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CO 052875) |
| Enumeration Date | 2014-05-25 |
| Last Update Date | 2016-12-16 |