| NPI | 1508375262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC0016184) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0016184) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2018-09-26 |