| NPI | 1538287271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 180000271) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 180-000271) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-06-07 |