| NPI | 1609244482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC P010041) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC P010041) |
| 101YM0800X Counselor Mental Health (Licence: NC P010041) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |