| NPI | 1588993992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2016031492) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39002125) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0012588) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2016-10-14 |