| NPI | 1548514201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC6059) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC07) |
| 101YP2500X Counselor, Professional (Licence: VA 0701008925) | |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2023-09-29 |