| NPI | 1629469374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC7327) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2016-11-16 |