| NPI | 1558602946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 5621) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DE PC-00000617) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2017-05-27 |