| NPI | 1598147555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2014032305) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2014032305) |
| 101YM0800X Counselor, Mental Health (Licence: MO 2014032305) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2020-11-05 |