| NPI | 1518374289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NV CP0242) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1309092) |
| 101Y00000X Counselor (Licence: NV CP0242) | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2018-07-25 |