| NPI | 1558751289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0014222) |
| 101Y00000X Counselor (Licence: SC 6676) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2018-03-30 |