| NPI | 1598154106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0201261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 009838) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2019-08-30 |