| NPI | 1659686814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SD 20173) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SD 7344) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2022-03-22 |