| NPI | 1598079915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0185451) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 136061) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0136061) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2018-08-24 |