| NPI | 1598101230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC6123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP5046) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2019-06-03 |