| NPI | 1538675046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101Y00000X Counselor | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |