| NPI | 1659788677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011909) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0011909) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2016-02-25 |