| NPI | 1528572336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A13018) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 706441) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |