| NPI | 1528402047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A10121) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2021-07-14 |