| NPI | 1659678175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 8537) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 8537) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2023-12-11 |