| NPI | 1568815512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015152) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 15152) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2019-05-09 |