| NPI | 1659645901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0188221) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0155611) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2022-07-21 |