| NPI | 1528494838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 0000010379) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10379) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-04-27 |