| NPI | 1598008799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6316) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 6316) |
| 101YM0800X Counselor, Mental Health (Licence: MS 1913) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2019-03-19 |